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November • December 2017 ourhealthcville.com

LEADING A

BETTER LIFESTYLE IS THE BEST WAY TO BEAT DIABETES PLUS: IS YOUR TEEN AT RISK FOR DEPRESSION & ANXIETY? HELPFUL TIPS FOR

the Annual Best Bedside Manner Awards

EATING HEALTHY THIS HOLIDAY SEASON

Did your favorite

HEALTHCARE PROVIDER make the

CUT?


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OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville


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TABLE OF CONTENTS NOVEMBER • DECEMBER 2017

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THE PULSE

| KEEPING THE PULSE ON HEALTHCARE

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MEDICAL PROFILES

| LOCAL HEALTHCARE

10 – Q&A ON HEALTH

40 – ALBEMARLE DENTAL ASSOCIATES

14 – NEW PEOPLE & PLACES

41 – CHARLOTTESVILLE GASTROENTEROLOGY ASSOCIATES 42 – CHARLOTTESVILLE ORTHODONTICS & EDWARD T. WOLANKSKI, MD, PC GYNECOLOGY SERVICES

2017 BEST BEDSIDE MANNER AWARDS OurHealth’s Best Bedside Manner Awards honor medical providers who were voted by the local community for their kindness, empathy and attentiveness—attributes that go a long way in gaining a patient’s confidence.

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NUTRITION

| LOCAL FOODS & RECIPES

44 – HELPFUL TIPS FOR EATING HEALTHY THIS HOLIDAY SEASON

www.OurHealthCville.com

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TABLE OF CONTENTS NOVEMBER • DECEMBER 2017

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LEADING A HEALTHIER LIFESTYLE IS THE BEST WAY TO BEAT DIABETES

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FAMILY CARE

| HEALTH FOR THE WHOLE FAMILY

Type II Diabetes, a disease in which there is a high level of sugar in the blood, is on the rise. A poor diet and lack of exercise are partially to blame.

60 – ARE LEG CRAMPS KEEPING YOU UP AT NIGHT?

IS YOUR TEEN AT RISK FOR DEPRESSION AND ANXIETY?

64 – SNORE NO MORE | Addressing Men’s Snoring

62 – TAKE A WALK IN SOMEONE ELSE'S SHOES . Experiencing Dementia Though a Virtual Tour

How to help your child navigate a brave new world of challenges.

JOIN THE OURHEALTH COMMUNITY ON SOCIAL MEDIA We want to hear from you! Don't forget to tag us, #OurHealthCVILLE

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MORE THAN A MAGAZINE ONLINE

november • december 2017

SOCIAL MEDIA

PUBLISHER PRESIDENT/EDITOR-AT-LARGE VICE PRESIDENT OF PRODUCTION CHIEF DESIGNER GRAPHIC DESIGNER DIGITAL CONTENT MANAGER | EVENT SPECIALIST DIGITAL MEDIA STRATEGY ACCOUNTING MANAGER PHOTOGRAPHER

McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Fields Hungate Karrie Pridemore Tori Meador Heidi McClintic Dalton Holody Laura Bower Melody Robbins

CONTRIBUTING MEDICAL EXPERTS

Leslie Blackhall, MD James Casey, MD Lawrence Comerford, MD, MS, AGAF Edward Wolanski, MD Tina Bell Catherine Brown Brandy Centolanza Tracy Corntazer Susan Dubuque Rick Piester Christy Ripple

E-NEWSLETTERS

CONTRIBUTING PROFESSIONAL EXPERTS & WRITERS

ADVERTISING AND MARKETING Kim Wood • Vice President of Business Development 540.798.2504 • kimwood@ourhealthvirginia.com Cindy Trujillo • Senior Media Consultant 434.907.5255 • cindy@ourhealthvirginia.com Cindy Morris-Scruggs • Senior Media Account Executive 804.300.0650 • cmscruggs@ourhealthvirginia.com SUBSCRIPTIONS Subscriptions are $19.95 per year. To receive OurHealth Shenandoah Valley & Charlottesville via U.S. Mail, please contact Jenny Hungate at jenny@ourhealthvirginia.com

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COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions. Copyright © 2017 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Charlottesville/Shenandoah Valley is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483. MAIN: ourhealthvirginia.com | ourhealthswva.com | ourhealthlbss.com | ourhealthrichmond.com | ourhealthcville.com | Advertising rates upon request.

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HEALTH H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS

Regardless of intervention, the best initial treatment (of cervical dysplasia) is prevention with the HPV vaccine (approved ages 9-26 years) and avoiding lifestyle risks such as smoking.

– James Casey, MD

What is cervical dysplasia? Cervical dysplasia (CIN) is a condition in which healthy cells on the cervix undergo abnormal changes. It’s a common outcome following standard workup for an abnormal Pap smear, and it’s categorized on a I-III scale by severity. For mild dysplasia (CIN I), often the only treatment needed is a repeat Pap smear and HPV testing. Freezing lesions with cryotherapy or vaporization with laser therapy are often performed in the office with good results, though these methods do not provide tissue for pathologic examination. For more severe lesions (CIN II and III), prompt intervention with excision is required to prevent progression to cancer, which can occur in 30 – 50 percent of cases if left untreated. A loop electrosurgical excision procedure (LEEP) can be performed in the office with upwards of 90 percent cure rates. A similar procedure, cold knife cone, may also be recommended with similar cure rates, though it requires general anesthesia. Fertility goals should always be considered, as several of these treatments can impact current or future pregnancies. Regardless of intervention, the best initial treatment is prevention with the HPV vaccine (approved ages 9-26 years) and avoiding lifestyle risks such as smoking. James Casey, MD

Carilion Clinic Gynecology Lexington | 540.526.2273 www.carilionclinic.org

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OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

My acid reflux gets to be unbearable around the holidays. What should I steer clear of at holiday gatherings? Gastroesophageal reflux disease is a common problem that affects millions of people, especially around the holiday season. There are measures we can take to limit heartburn symptoms, though, including: Avoid or limit ‘triggers’: Caffeine, alcohol, smoking, chocolate, peppermint, and fatty foods may cause relaxation of the lower esophageal sphincter (which normally acts like a valve) allowing acid to reflux from the stomach into the esophagus. Avoid late night snacks: Waiting at least three hours after eating before going to bed limits stomach contents from refluxing into your esophagus. Stop smoking: Smokers cough more and have decreased saliva, which worsens reflux symptoms. Lose weight: Although it’s certainly difficult to cut calories around the holiday season, obesity has been shown in studies to worsen acid reflux. Finally, over the counter medications such as antacids (Tums), H-2 antagonists (Pepcid, Zantac), or proton pump inhibitors (Prilosec) can be helpful to relieve symptoms. Speak with your doctor if symptoms persist. Lawrence Comerford, MD, MS, AGAF Augusta Health Gastroenterology Fishersville | 540.221.7350 www.augustahealth.com

What does a palliative care provider do that’s different from what my other doctors do? Palliative care doctors see patients with serious chronic illnesses like cancer, heart failure, or lung disease. They focus on treating symptoms that impair quality of life. While an oncologist treats cancer, the palliative care doctor treats the pain, nausea, anxiety and fatigue caused by the illness or the chemotherapy. They also work with the family and caregivers affected by these illnesses and help the patient and family consider options for care. Leslie Blackhall, MD UVA Health System Palliative Care Clinic Charlottesville | 434.243.3922 www.uvahealth.com


THE P ULSE | Q&A on Health

www.OurHealthCville.com

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HEALTH H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS

During the initial meeting with a home care specialist, he or she will gain insight on your family’s specific needs to identify an appropriate level of care. The key is total flexibility.

– Tina Bell

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I’m so confused about my individual health insurance options right now. Where do I begin to learn more? If you are not insured through your employer’s group health plan, one option is individual coverage. When the Affordable Care Act was signed into law in 2010, it was a game changer. When you could purchase coverage and the types of plans you could purchase changed. Unless you involuntary lose coverage during the year, the only time to purchase an individual health insurance policy is during Open Enrollment. This year’s Open Enrollment period is shorter than year’s past. It runs from 11/1/17 – 12/15/17 for a January 1, 2018 effective date. Your plan options will vary based on the county in which you live. To find the options available to you, you can either visit www. Healthcare.gov or contact a local health insurance agent. Either will be able to guide you through which plans are available and show you how to search for medical providers and prescriptions options. You can also learn if you qualify for either a premium subsidy or a costsharing subsidy. If you miss Open Enrollment, contact a local agent and ask about temporary policies. Tracy Corntazer

Virginia Farm Bureau Experient Health Charlottesville | 800.452.7714 www.vafb.com

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

What are fibroids, and should they be a cause for concern? Fibroids, typically non-cancerous tumors that appear in tissue around the uterus, are a very common gynecologic condition affecting 40 to 50 percent of women. They can range from very small asymptomatic to large symptomatic fibroids. Fibroids are usually detected on a pelvic exam and confirmed by ultrasound. Some of the more common associated symptoms are excessive vaginal bleeding, pelvic pain, and effects on fertility. If they become symptomatic, there are several options for treatment, from surgical removal to medical options. If fibroids are suspected, your doctor most likely will order an ultrasound to confirm their presence. Edward Wolanski, MD

Gynecology Services Charlottesville | 434.293.9800 www.wolanskigyn.com

My mom is moving in with my family this month. I know I cannot care for her alone. How do I know what level of assistance to request from a home health agency? It can be overwhelming, no matter how much you love your parent(s), to have them move into your home. A home health agency can assist and eliminate much of this stress. Your home health partner will walk you through the process and will help determine the right support you and your mom are comfortable with and need. During the initial meeting with a home care specialist, he or she will gain insight on your family’s specific needs to identify an appropriate level of care. The key is total flexibility. You do not sign a contract or commit to a certain number of hours; the care can grow or taper as needed. A home health nurse may also visit the home to assess and offer suggestions on the level of assistance needed. With our team of specialists and dedicated caregivers working together for you, we are able to make the process a seamless and stress-free one, providing you and your loved one with peace of mind. Tina Bell

Care Advantage Charlottesville | 800.473.0022 www.careadvantageinc.com


Local health. Anywhere you go. OurHealth magazine is Shenandoah Valley and Charlottesville’s only resource entirely dedicated to delivering information about local healthcare services and healthy living topics. Pick up our print edition at more than 650 locations throughout the area or get the digital edition by visiting

ourhealthcville.com .

www.OurHealthCville.com

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THE PULSE

Mark Andres, MD

Jeremy A. Benedetti, MD Polly Cason, NP UVA Health System Plastic Surgery Fishersville & Charlottesville 540.932.5771 www.uvahealth.com

Augusta Health Urgent Care Waynesboro| 540.245.7940 www.augustahealth.com

Jonathan Craun, DO

Todd Goodnight, MD

Chelsea Johnson, OD

Reshma Khetpal, MD

Jose L. Mattos, MD, MPH Gabrielle Murphy, NP

Augusta Health Surgery Fishersville | 540.245.7705 www.augustahealth.com

Blue Ridge Radiologists Fishersville | 540.886.0988 www.augustahealth.com

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Primary Eyecare Augusta Health Charlottesville| 434.977.2020 Cancer Center www.CvilleEyecare.com Fishersville | 540.332.5960 www.augustahealth.com

Blue Ridge Radiologists, Inc. Staunton | 540.886.0988 www.augustahealth.com

UVA Health System Otolaryngology-Head and Neck Surgery Charlottesville | 434.924.5934 www.uvahealth.com

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

Raymond Cruz, MD

Augusta Health Cancer Center Fishersville| 540.332.5960 www.augustahealth.com

Augusta Health Urgent Care Waynesboro | 540.245.7940 www.augustahealth.com

Brent DeGeorge Jr., MD, PhD UVA Health System Plastic Surgery Fishersville & Charlottesville 540.932.5771 www.uvahealth.com

Daniel Parks, MD

Augusta Health Urgent Care Stuarts Draft | 540.245.7880 www.augustahealth.com


THE P ULSE |

CONTINUED...

Welcome to the Community

JOIN THE OURHEALTH COMMUNITY

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Kelvin Raybon, MD, FACP Augusta Health Cancer Center Fishersville | 540.332.5960 www.augustahealth.com

Mary Katherine Ward, NP Augusta Health Family Practice Fishersville | 540.332.5687 www.augustahealth.com

READ THIS EDITION OF

OurHealth

Charlottesville & Shenandoah Valley ON YOUR TABLET OR SMARTPHONE

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Celebrating Excellent

BEDSIDE MANNER

In room one, a single mother waits. Her headaches have been getting more intense and frequent lately. Is it the stress of raising three energetic boys on her own, or does she have a brain tumor? She isn’t normally so pessimistic, but her fears have taken hold. In room two, a retired grandfather sits and worries. Although he has worked hard to manage his type 2 diabetes, he struggles with his wife’s developing dementia. He tries to have strong willpower, but finds himself eating too many candy bars to cope with the loneliness and stress. In room three, an anxious mother tries to comfort her coughing child. He has never been this sick in his five years of life, and she worries. Is this just a normal cold that will lead to a quick recovery, or could it be something more serious? Could he be developing lifethreatening asthma like his dad has? In room four, a middle-aged father tries to read a sports magazine in an uncomfortable chair. He has noticed his hand shaking lately, and he worries. Is it something perfectly explainable, or could he be developing a potentially debilitating disease that will rob him of the chance to play basketball with his sons?

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OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville


Across the country, patients sit in medical providers’ offices, waiting anxiously. They bring to their brief appointments their life stories, cultural contexts, anxieties, responsibilities and challenges. As they sit in small rooms sharing their experiences, patients want to know that their medical providers care, even if their medical conditions aren’t as serious as they fear they might be. To be effective, medical providers need to understand and relate to every single patient they see, which is often nearly 20 patients per day. In other words, bedside manner matters. Providers with an excellent bedside manner treat their patients well; they listen and are kind, understanding, patient and empathetic. According to a recent study, patients whose medical providers interacted positively with them had better outcomes in the areas of obesity, diabetes, asthma, heart health and osteoarthritis. Researchers have also found that patients are more likely to adhere to treatment plans when their medical providers are compassionate and patient-focused. In addition, studies have found that, when physicians treat patients with empathy, it helps not only the patients, but also the medical providers themselves, who report decreased burnout and an increased sense of well-being. Incidents of malpractice also decrease, thus alleviating physician stress. That happens because a patient is more likely to share information that might impact the treatment plan when she feels comfortable and valued. A medical provider with a good bedside manner will walk into a room and focus completely on the patient. He makes eye contact and engages the patient in conversation in a kind, friendly way. The medical provider also expresses to the patient that he feels empathy; the provider wants to hear the patient’s story and is willing to understand her perspective. These qualities distinguish an outstanding doctor from one who is merely competent.

For the third year in a row, OurHealth Charlottesville & Shenandoah Valley is pleased to present the awards for local medical providers with the best bedside manner. While other awards recognize medical providers for their knowledge and competence, the Best Bedside Manner Awards are unique because they ask members of the public—not other medical providers—to share their input about how doctors relate to patients. Polling for the Best Bedside Manner Awards took place in May, and over 35,000 local people voted for medical providers in over 50 medical specialties. Because of the value that patients place on medical providers’ compassion and care, the number of people voting for these awards has increased by double digit percentages each year. For many people, meeting with a doctor can be stressful and overwhelming. Thankfully, so many of our community’s medical professionals recognize that challenge and walk into the room with a warm smile and the willingness to hear their patients’ stories. While the region lays claim to many medical providers who deliver excellent care, those who receive the Best Bedside Manner Awards have developed exceptional interpersonal skills and deserve to be recognized for this.

Please join us in congratulating this year’s 3rd Annual Best Bedside Manner Award winners. The Voting Process: During the month of May 2017, the Best Bedside Manner Awards Voting Form was available on OurHealth’s website, www.ourhealthcville.com. The form consisted of over 40 medical specialties (with definitions of each specialty) in which the public could submit the first and last names of local medical providers by the applicable specialty. If you have any questions, please contact Stephen McClintic Jr., publisher of OurHealth, at steve@ourhealthvirginia.com or 540.387.6482.

ON THE WEB

More at ourhealthcville.com

www.OurHealthCville.com

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ARVIND MADAAN, MD

Charlottesville Allergy & Respiratory Enterprises Charlottesville | 434.295.2727 www.cvilleallergy.com

— Swen Eric Laser, MD

BARIATRIC MEDICINE

Anesthesia Associates of Augusta

ANESTHESIOLOGY

Good eye contact, listening, smiling and appropriate touch conveys concern for the patient's welfare and makes them feel less vulnerable, particularly in the surgical setting. Good bedside manner is often more effective than medications in allaying anxiety and has measurable effects on patient health and outcome.

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SECOND PLACE GRETCHEN BECK, MD Blue Ridge Allergy & Asthma Charlottesville | 434.977.NOSE (6673) www.blueridgeallergy.com

THIRD PLACE

athelas

GARY RAKES, MD Allergy Partners of Charlottesville Waynesboro | 540.949.5154 www.allergypartners.com/charlottesville

HONORABLE MENTION LARRY BORISH, MD UVA Asthma, Allergy and Immunology Charlottesville | 434.924.5917 www.uvahealth.com

AUDIOLOGY

ALLERGY & IMMUNOLOGY

FIRST PLACE

“I am honored to be chosen for the Best Bedside Manners Gold Award by public choice. I accept this award on behalf of all my patients who have allowed me the opportunity to care for them and offer them wellness instead of just treating episodes of sickness. We believe in direct and honest engagement with our patients as a team, listening carefully and empathetically. Our patients appreciate the fact that we distill the latest scientific advances into simple, easy to understand terms and allow our patients to select the best possible plan of care. In the end, it is all about good clinical outcomes and satisfied patients.” — Arvind Madaan, MD

FIRST PLACE

“Good eye contact, listening, smiling and appropriate touch conveys concern for the patient's welfare and makes them feel less vulnerable, particularly in the surgical setting. Good bedside manner is often more effective than medications in allaying anxiety and has measurable effects on patient health and outcome.” — Swen Eric Laser, MD

SWEN ERIC LASER, MD

Anesthesia Associates of Augusta Fishersville | 844.328.2779 www.augustahealth.com

FIRST PLACE

“I am honored to receive this award for the third time. I believe that everyone deserves to have a wonderful experience in this often confusing and overwhelming area of healthcare. Getting to know each patient and truly listening is invaluable in making recommendations that are customized to each person's needs.” — Kristin Koch, AuD

Evolution Hearing Charlottesville | 434.227.4100 www.evolutionhearing.com

“I feel that bedside manner is our opportunity to connect with a patient on a personal level. During those moments we have a unique opportunity to share in the patient's life, illness and gain their trust. That is our chance to set them at ease.” — Jayme Stokes, MD

FIRST PLACE Sentara Martha Jefferson Bariatric Care Center Charlottesville | 434.654.5260 www.sentara.com/weightlosssurgery

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

CARLY HUNT, MD Assure Anesthesia Charlottesville | 585.820.5296 www.assureanesthesia.com

THIRD PLACE EDWARD EISENBERG, MD Edward Eisenberg, MD – Anesthesia Fishersville | 540.416.0416

HONORABLE MENTION ROBERT THIELE, MD UVA Health System Charlottesville | 434.924.2283 www.uvahealth.com

SECOND PLACE KAREN KLOTZ, HIS Virginia Hearing Group Verona | 248.1670 www.virginiahearinggroup.com

THIRD PLACE TAMMY GARBER, AUD Hearing Health Associates Charlottesville | 434.422.3202 www.hearinghealthassoc.com

HONORABLE MENTION

KRISTIN KOCH, AUD

JAYME STOKES, MD

SECOND PLACE

A. TUCKER GLEASON, PHD UVA Audiology Charlottesville | 434.924.2050 www.uvahealth.com

SECOND PLACE PETER HALLOWELL, MD UVA Surgical Care Charlottesville | 434.243.4811 www.uvahealth.com


2 01 7 B EST B EDSI DE MANNER AWAR DS | Charlottesville & Shenandoah Valley

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www.OurHealthCville.com


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OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville


CARDIOLOGY

SECOND PLACE “Feeling unwell is incredibly stressful even under the best of circumstances. Anything we can do as physicians to help people feel more at ease and better understand their treatment is a critical part of the healing process.” — Victor Soukoulis, MD, PhD

FIRST PLACE

RODNEY C. GRABER, MD Augusta Health Cardiology Fishersville | 540.245.7080 www.augustahealth.com

THIRD PLACE ANNA BAER, MD Cardiovascular Associates of Charlottesville Charlottesville | 434.293.4072 www.cvilleheart.com

HONORABLE MENTION

VICTOR SOUKOULIS, MD, PHD

ARUN PRAHASH, MD Augusta Health Cardiology Fishersville | 540.245.7080 www.augustahealth.com

UVA Heart and Vascular Center Charlottesville | 434.243.1000 heart.uvahealth.com

SECOND PLACE

CHIROPRACTIC

SAMUEL SPILLMAN, DC Balanced Chiropractic & Physical Therapy Charlottesville | 434.293.3800 www.balancechiropracticva.com

THIRD PLACE

athelas

ANDREW DODGE, DC Valley Family Wellness Staunton | 540.885.1735 www.valleyfamilywellness.com

FIRST PLACE

HONORABLE MENTION

SCOTT WAGNER, DC

Scott Wagner Chiropractic and Sports Medicine Charlottesville | 434.978.4888 www.scottwagnerchiropractic.com

DEREK SISAK, DC Scott Wagner Chiropractic and Sports Medicine Charlottesville | 434.978.4888 www.scottwagnerchiropractic.com

Feeling unwell is incredibly stressful even under the best of circumstances. Anything we can do as physicians to help people feel more at ease and better understand their treatment is a critical part of the healing process. — Victor Soukoulis, MD, PhD

UVA Heart and Vascular Center

DENTISTRY: GENERAL

DENTISTRY: COSMETIC

SECOND PLACE “Going to the dentist can be scary and stressful so having a personal connection with my patients helps to relieve some of their anxiety. I enjoy getting to know my patients and letting them know more about me. I genuinely care about all my patients which helps ease the fears associated with going to the dentist.” — Anita Neel, DDS

FIRST PLACE Aesthetic Dentistry of Charlottesville Charlottesville | 434.984.3455 cvillesmiles.com

JEFFERY HODGES, DDS

THIRD PLACE JAMES LEE, DDS Lee Family Dentistry Charlottesville | 434.293.9916 www.leefamilysmiles.com

HONORABLE MENTION

ANITA NEEL, DDS

FIRST PLACE

ADAM SALZBERG, DDS Augusta Dental Fishersville | 540.885.4589 www.augusta.dental

“We have a family attitude at Albemarle Dental Associates, which understands the age-old adage that people don’t care how much you know until they know how much you care. We understand this, and our goal is to build a life-long relationship by listening to our patient’s goals, beliefs and desires. In doing so, we treat them the way they want to be treated, attaining the healthy oral condition they deserve. To my team, this is what having a good bedside manner is all about.” — Jeffery Hodges, DDS

Albemarle Dental Associates Charlottesville | 434.293.8944 www.getaperfectsmile.com

HENRY BRADFORD, III, DDS Bradford Dentistry Fishersville | 540.213.1966 www.dentafish.com

SECOND PLACE DJ BICKERS, DDS Charlottesville | 434.984.6400 www.djbickers.com

THIRD PLACE JACK KAYTON, III, DDS Dr. Jack T. Krayton: Family & Cosmetic Dentistry Charlottesville | 855.599.5581 www.dentistrycharlottesvilleva.com

HONORABLE MENTION STEVE BROWNING, DDS Browning & Cunningham Family Dentistry Waynesboro | 540.943.4215 www.bcfamilydentistry.com www.OurHealthCville.com

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— Tamara Gordon, MS, RD, CNSC

DENTISTRY: PEDIATRIC

FIRST PLACE

“The first half of my job is to create healthy dental habits and restore children's teeth. The second, and equally important half of my job is to provide an enjoyable and welcoming environment for children to relate to their dentist. A nurturing bedside manner builds trust and a strong relationship between the patient and doctor that will carry throughout adulthood.” — Brian Brumbaugh, DDS

SECOND PLACE BARRETT PETERS, DDS Piedmont Pediatric Dentistry Charlottesville | 434.973.4344 www.piedmontpd.com

THIRD PLACE KEVIN CLIFFORD, DDS Crozet Pediatric Dentistry, PC Crozet | 434.205.4587 www.crozetpediatricdentistry.com

HONORABLE MENTION

BRIAN BRUMBAUGH, DDS Staunton | 540.213.2244 www.cavityfreekid.com

AARON STUMP, DDS Charlottesville Pediatric Dentistry Charlottesville | 434.975.7336 www.cvillepedo.com

SECOND PLACE KRISTEN SAVOLA, MD Savola Aesthetic Dermatology Center Fishersville | 540.451.2833 www.savoladermatology.com

DERMATOLOGY

Good bedside manner is essential to creating a trusting bond between a patient and a healthcare provider. Exercising kindness, compassion and patience at the bedside is important when patients are most vulnerable and feel helpless during their illness. I hope to provide comfort by practicing good bedside manners and when I do, my patients know that I genuinely care about their humanity.

HANNAH PIERCE, MD Albemarle Dermatology Associates Charlottesville | 434.923.4651 www.albemarledermatology.com

FIRST PLACE

HONORABLE MENTION

DEBORAH ELDER, MD

Charlottesville Dermatology Charlottesville | 434.984.2400 www.cvillederm.com

UVA Transitional Care Hospital

DIETETICS

athelas

THIRD PLACE

FIRST PLACE

BARBARA WILSON, MD UVA Dermatology Charlottesville | 434.924.5115 www.uvahealth.com

“Good bedside manner is essential to creating a trusting bond between a patient and a healthcare provider. Exercising kindness, compassion and patience at the bedside is important when patients are most vulnerable and feel helpless during their illness. I hope to provide comfort by practicing good bedside manners and when I do, my patients know that I genuinely care about their humanity.” — Tamara Gordon, MS, RD, CNSC

TAMARA GORDON, MS, RD, CNSC UVA Transitional Care Hospital Charlottesville | 434.243.3799 www.uvahealth.com

SECOND PLACE AMANDA TERILLO, RD Amanda Terillo Nutrition Counseling, LLC Charlottesville | 434.872.3285 www.amandaterillo.com

THIRD PLACE RITA SMITH, MS, RD, CDE Sentara Martha Jefferson Hospital Charlottesville | 434.654.7009 www.sentara.com

HONORABLE MENTION MARY BETH LANDES, MS, RD, CSO Augusta Health Fishersville | 540.332.5522 www.augustahealth.com

EMERGENCY MEDICINE

SECOND PLACE

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“Outstanding communication between the patient and the physician at the bedside will always be the single most important part of quality health care. That special and critical relationship is always the best part of my day.” — David Fosnocht, MD

FIRST PLACE DAVID FOSNOCHT, MD

Augusta Emergency Physicians Fishersville | 540.932.4444 www.augustahealth.com

ROBERT REISER, MD UVA Emergency Medicine Charlottesville | 434.924.2231 www.uvahealth.com

THIRD PLACE CHRISTOPHER HOLSTEGE, MD UVA Health System Charlottesville | 434.924.5185 www.uvahealth.com

HONORABLE MENTION ADAM BELSCHES, MD Augusta Emergency Physicians Fishersville | 540.932.4444 www.augustahealth.com


ENDOCRINOLOGY FAMILY PRACTICE

“In endocrinology, we often treat patients with challenging, chronic illnesses, so I have the pleasure of seeing patients and their families over months and years. It is an honor to truly know my patients, learn their stories and to strive together for wellness.” — Jessicah Collins

FIRST PLACE

Downtown Family Health Care Charlottesville | 434.817.1818 www.downtownfamilyhealthcare.com

THIRD PLACE NELLY MAYBEE, MD Augusta Health Diabetes & Endocrinology Clinic Staunton | 540.245.7180 www.augustahealth.com

RALPH NASS, MD UVA Diabetes and Endocrine Clinic Charlottesville | 434.924.1825 www.uvahealth.com

Augusta Health Diabetes & Endocrinology Clinic Fishersville | 540.245.7180 www.augustahealth.com

DEIRDRE DONOVAN, MD

JENNIFER KIRBY, MD UVA Diabetes and Endocrine Clinic Charlottesville | 434.924.1825 www.uvahealth.com

HONORABLE MENTION

JESSICAH COLLINS

FIRST PLACE

SECOND PLACE

SECOND PLACE

HONORABLE MENTION

DENNIS HATTER, MD UVA Stuarts Draft Family Practice Stuarts Draft | 540.337.3710 www.uvahealth.com

CHRISTOPHER HECK, MD Carilion Clinic Family Medicine Waynesboro | 540.949.8241 www.carilionclinic.com

THIRD PLACE

JOHN MCGOVERN, MD Sentara Forest Lakes Family Medicine Charlottesville | 434.654.4600 www.sentara.com

RAYMOND MAROTTA, MD Family Medicine of Albemarle Charlottesville | 434.973.9744 www.fmoa-online.com

A nurturing bedside manner builds trust and a strong relationship between the patient and doctor that will carry throughout adulthood. — Brian Brumbaugh, DDS

www.OurHealthCville.com

23


FERTILITY SPECIALIST GASTROENTEROLOGY

Outstanding communication between the patient and the physician at the bedside will always be the single most important part of quality health care. That special and critical relationship is always the best part of my day. — David Fosnocht, MD

GERIATRIC CARE

Augusta Emergency Physicians

24

FIRST PLACE

SECOND PLACE “Everyone in our practice cares and we show it.” — Bruce Bateman, MD

LAURA SMITH, MD Reproductive Medicine & Surgery Center of Virginia, PLC Charlottesville | 434.654.8520 www.rmscva.com

THIRD PLACE CHRISTOPHER WILLIAMS, MD Reproductive Medicine & Surgery Center of Virginia, PLC Charlottesville | 434.654.8520 www.rmscva.com

FIRST PLACE BRUCE BATEMAN, MD

Reproductive Medicine & Surgery Center of Virginia, PLC Charlottesville | 434.654.8520 www.rmscva.com

FIRST PLACE

“In the face of increasing demands on a doctor’s time, our practice remains committed to providing the most meaningful interaction between the patient and our physicians, nurses, nurse practitioners, and staff. Patients express to us the desire for two qualities they seek most: that we listen, and that we care. We strive to do that every day. ” — David Balaban, MD

DAVID BALABAN, MD

DAVID CHESLER, MD

Charlottesville Family Medicine Charlottesville | 434.973.1831 www.charlottesvillemedicine.com

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

JAVIER POU, MD Shenandoah Valley Gastroenterology Waynesboro | 540.946.1662 www.svgastro.com

THIRD PLACE ANDREW WANG, MD UVA Digestive Health Center Charlottesville | 434.243.3090 www.uvahealth.com

HONORABLE MENTION CYNTHIA YOSHIDA, MD UVA Division of Gastroenterology and Hepatology Charlottesville | 434.244.5008 www.uvahealth.com

Charlottesville Gastroenterology Associates Charlottesville | 434.817.8490 www.cvillegi.com

“Bedside manner refers to the way in which a provider approaches a patient. The goal is to establish and preserve a relationship based on trust and understanding. To do this, the provider must convey to the patient that he or she cares about the patient and the patient’s problems, and that in this time together the patient has the undivided attention of the provider - that the focus is completely on the patient and that nothing else matters other than their interaction. This important bond between the patient and provider allows the patient to understand his or her health care needs and the solution that the provider lays out to meet them. ” — David Chesler, MD

SECOND PLACE

SECOND PLACE DIANE SNUSTAD, MD UVA Colonnades Medical Associates Charlottesville | 434.924.1212 www.uvahealth.com

THIRD PLACE DANIEL BECKER, MD UVA University Medical Associates Charlottesville | 434.924.1931 www.uvahealth.com


HEMATOLOGY/ONCOLOGY INFECTIOUS DISEASE INTEGRATIVE MEDICINE INTERNAL MEDICINE

“A cancer diagnosis is devastating to both the patient and their family. Often the healthcare system is overwhelming to them with the number of appointments, numerous doctors, confusing terminology and hospitalizations. A physician's good bedside manner is important to sustain a partnership between the patient, family and the physician in order to navigate the complex health system and to have the best possible clinical outcome for the patient.” — Tamila Kindwall-Keller, DO

SECOND PLACE RESHMA KHETPAL, MD Augusta Health Cancer Center Fishersville | 540.332.5960 www.augustahealth.com

athelas

THIRD PLACE CHRISTIANA BRENIN, MD UVA Cancer Center Charlottesville | 434.924.9333 www.uvahealth.com

FIRST PLACE TAMILA KINDWALL-KELLER, DO UVA Cancer Center Charlottesville | 434.924.9333 cancer.uvahealth.com

“When you are sick, it’s important to feel that your provider cares about you. A compassionate interaction makes a big difference, and only comes second to good medical knowledge.” — Amanda Guedes, MD

SECOND PLACE BRIAN WISPELWEY, MD UVA Ryan White HIV Clinic Charlottesville | 434.982.1700 www.uvahealth.com

FIRST PLACE AMANDA GUEDES, MD

Augusta Health Infectious Disease Fishersville | 540.213.2630 www.augustahealth.com

Bedside manner refers to the way in which a provider approaches a patient. The goal is to establish and preserve a relationship based on trust and understanding. — David Chesler, MD Charlottesville Family Medicine

SECOND PLACE MARTIN ALBERT, MD Virginia Integrative Medicine Charlottesville | 434.984.2846 healthyvim.org

THIRD PLACE

FIRST PLACE DEBORAH CAMPBELL, MD

Albemarle Square Family Healthcare Charlottesville | 434.978.2126 www.albemarlesquarefamilyhealthcare.com

FIRST PLACE LOUISA HANN, MD

MITCH FLEISHER, MD Alternative MedCare Redland | 434.361.1896 www.alternativemedcare.com

“My office team and I try to create a calm, non-judgmental atmosphere at visits, so patients can feel as comfortable as possible with the people to whom they are entrusting their health. I find it a rewarding challenge to be professional and informative but to also try to relate to people's own perspectives and understand where they are coming from.” — Louisa Hann, MD

SECOND PLACE

HONORABLE MENTION

RICHARD BRANTLEY, MD Fox & Brantley Internal Medicine Charlottesville | 434.244.5684 www.foxandbrantley.com

CAROLYN DALLDORF, MD Piedmont Internal Medicine Charlottesville | 434.293.5548

THIRD PLACE MARK NIEHAUS, MD Albemarle Square Family Healthcare Charlottesville | 434.978.2126 www.albemarlesquarefamilyhealthcare.com

JEFF DAVIS, MD Internal Medicine LTD Charlottesville | 434.977.7950 www.internalmedicineltd.com

Sentara Blue Ridge Internal Medicine Charlottesville | 434.654.4550 www.sentara.com

www.OurHealthCville.com

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NEONATOLOGY

I want to treat my patients with respect and dignity. I find it important to put ‘myself in their shoes,’ help them allay their anxieties, gain their trust and hopefully have a positive impact on their medical condition.

“Caring for the premature and acutely ill newborn population and their families is an honor but it is also a partnership. Having a good bedside manner fosters trust and respect and promotes family-centered care.” — Robert Sinkin, MD

ROBERT SINKIN, MD

UVA Children’s Hospital Charlottesville | 434.924.5428 childrens.uvahealth.com

NEPHROLOGY NEUROLOGY

“I want to treat my patients with respect and dignity. I find it important to put ‘myself in their shoes,’ help them allay their anxieties, gain their trust and hopefully have a positive impact on their medical condition.” — Mark Okusa, MD

THIRD PLACE

SECOND PLACE VICTORIA NORWOOD, MD UVA Children’s Hospital Charlottesville | 434.924.2096 childrens.uvahealth.com

THIRD PLACE KAMBIZ KALANTARI, MD UVA Kidney Center Clinic Charlottesville | 434.924.1984 www.uvahealth.com

FIRST PLACE MARK OKUSA, MD

UVA Kidney Center Clinic Charlottesville | 434.924.1984 www.uvahealth.com

“A well-honed bedside manner remains the most important tool in the black bag of a neurologist. When patients are at their most vulnerable, I hope for them to see in me not just a physician but a caring and relatable human being in whom they can trust.” — Andrew Southerland, MD

SECOND PLACE

HONORABLE MENTION

MYLA GOLDMAN, MD UVA James Q. Miller Multiple Sclerosis Clinic Charlottesville | 434.982.3936 neuro.uvahealth.com

DAVID MCCOLLUM, MD UVA Neurosciences and Behavioral Health Center Charlottesville | 434.924.2706 neuro.uvahealth.com

THIRD PLACE

HOWARD GOODKIN, MD, PHD UVA Children’s Hospital Charlottesville | 434.924.5401 childrens.uvahealth.com

RENZO FIGARI, MD Shenandoah Valley Neurology Associates Fishersville | 540.932.5878 www.augustahealth.com

FIRST PLACE ANDREW SOUTHERLAND, MD UVA Stroke Center Charlottesville | 800.251.3627 neuro.uvahealth.com

A physician's good bedside manner is important to sustain a partnership between the patient, family and the physician in order to navigate the complex health system and to have the best possible clinical outcome for the patient. — Tamila Kindwall-Keller, DO 26

DAVID KAUFMAN, MD UVA Children’s Hospital Charlottesville | 434.924.5428 childrens.uvahealth.com

BROOKE VERGALES, MD UVA Children’s Hospital Charlottesville | 434.924.5428 childrens.uvahealth.com

FIRST PLACE

— Mark Okusa, MD Shenandoah Valley Orthopedics & Sports Medicine

SECOND PLACE

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville


NURSE PRACTITIONER (NP)

“Listening to women and partnering with them is essential in helping them to meet their healthcare needs.” — Kari Somers, CNM, WHNP

HONORABLE MENTION

KELLY VINCEL, CPNP Charlottesville Pediatrics Charlottesville | 434.296.9161 www.charlottesvillepeds.com

ALANA HARRISON, MSN, PNP UVA Children’s Hospital Charlottesville | 434.924.2706 childrens.uvahealth.com

THIRD PLACE

TINA RUTT, NP Charlottesville Family Medicine Charlottesville | 434.973.1831 www.charlottesvillemedicine.com

LORI GONZALEZ REID, RN, FNP-C The Woman’s Center Fishersville | 540.932.5577 www.thewomanscenterva.com

FIRST PLACE KARI SOMERS, CNM, WHNP

Augusta Health Care for Women Fishersville | 540.213.7750 www.ahcfw.com

“It is an honor to serve and care for the women in our community.” — Ami Keatts, MD, FACOG, CPPS

SECOND PLACE CHRISTINE WAMHOFF, MD Jefferson OB/GYN Charlottesville | 434.977.4488 www.jeffersonobgyn.com

FIRST PLACE (TIE)

THIRD PLACE

AMI KEATTS, MD, FACOG, CPPS

SIVA THIAGARAJAH, MD Obstetrics & Gynecology Associates Charlottesville | 434.979.2121 www.obgynassociatescville.com

Augusta Health Care for Women Fishersville | 540.213.7750 www.ahcfw.com

OBSTETRICS & GYNECOLOGY

SECOND PLACE

HONORABLE MENTION MELINDA FERGUSON, MD Waynesboro Women’s Health Waynesboro | 540.949.9441 www.melindaferguson.vpweb.com

“The most important part of bedside manner is to take the time to listen to our patients and hear what they have to say.” — Edward Wolanski, MD, PC

VANESSA GREGG, MD UVA University Physicians for Women Northridge Charlottesville | 434.243.4570 www.uvahealth.com DANIEL MCMILLAN, MD, FACOG Augusta Health Care for Women Fishersville | 540.213.7750 www.ahcfw.com

FIRST PLACE (TIE) EDWARD WOLANSKI, MD, PC Charlottesville | 434.293.9800 www.wolanskigyn.com

SECOND PLACE

OPHTHALMOLOGY

CHRISTIAN CARTER, MD Albemarle Pediatric Ophthalmology & Strabismus Charlottesville | 434.295.5193 www.aposva.com

THIRD PLACE LAURA COOK, MD UVA Eye Clinic Charlottesville | 434.982.0070 www.uvahealth.com

FIRST PLACE

HONORABLE MENTION

ASHLEY SCHAUER, MD

MOHIT NANDA, MD Virginia Retina Consultants Charlottesville | 434.978.2040 Waynesboro | 540.949.9080 www.virginiaretinaconsultants.com

Blue Ridge Ophthalmology Eye Physicians & Surgeons Charlottesville | 434.295.3227 www.blueridgeeyemd.com

www.OurHealthCville.com

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— Thomas Pereles, MD

“Educating my patients is as important as the treatment itself. Empowering them with the What and Why regarding their diagnosis garners treatment compliance and overall success.” — Michael Henderson, OD

FIRST PLACE MICHAEL HENDERSON, OD

Primary EyeCare Charlottesville | 434.977.2020 www.cvilleeyecare.com

LAUREN RIVELLINO, OD EyeOne, PLC Charlottesville | 800.939.7720 www.eyeoneva.com

THIRD PLACE JOSEPH DIGIROLAMO, OD Primary EyeCare Charlottesville | 434.977.2020 www.cvilleeyecare.com

HONORABLE MENTION SHANNON FRANKLIN, OD Crozet Eye Care Optometrists Charlottesville | 434.823.4441 www.crozeteyecare.com

SECOND PLACE

ORAL SURGERY

Good bedside manner is important because it facilitates trust between the patient and the physician. Trust is essential for the patient to most effectively communicate symptoms, goals for treatment, and any concerns regarding the treatment plan with the physician.

OPTOMETRY

SECOND PLACE

“I truly enjoy caring for my patients. Listening to concerns and embracing hopes for a positive experience, allows me to work with patients with kindness and respect for successful surgical outcomes.” — Corey Burgoyne, DMD

FIRST PLACE

CARLOS IBANEZ, DDS Charlottesville Oral Surgery & Dental Implant Center, PLLC Charlottesville | 434.295.0911 www.cvilleoralsurgery.com

THIRD PLACE TODD BRANDT, DDS, MD Blue Ridge Oral & Maxillofacial Surgery Fishersville | 540.886.2956 www.blueridgeoralsurgery.com

HONORABLE MENTION

COREY BURGOYNE, DMD

Blue Ridge Oral & Maxillofacial Surgery Fishersville | 540.886.2956 www.blueridgeoralsurgery.com

PETER EISENHARDT, DDS Central Virginia Oral & Facial Surgeons, PLC Charlottesville | 434.973.3348 www.cvofs.com

ORTHOPAEDICS

ORTHODONTICS

SECOND PLACE

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FIRST PLACE

“My goal is for you to have the most attractive smile and best bite for the rest of your life.” — Bart Weis, DDS

FIRST PLACE Charlottesville Orthodontics Charlottesville | 434.971.9601 www.charlottesvilleorthodontics.com

THOMAS PERELES, MD

Shenandoah Valley Orthopedics and Sports Medicine Fishersville | 540.932.5850 www.shenandoahvalleyorthopedics.com

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

THIRD PLACE QUAY PARROTT, DDS Parrott Orthodontics Staunton | 540.949.6600 www.parrottortho.com

HONORABLE MENTION

BART WEIS, DDS

“Good bedside manner is important because it facilitates trust between the patient and the physician. Trust is essential for the patient to most effectively communicate symptoms, goals for treatment, and any concerns regarding the treatment plan with the physician. This allows for the optimum treatment and, ultimately, the best outcome for that patient.” — Thomas Pereles, MD

DAVID HAMER, DDS Hamer & Hamer DDS Orthodontics Charlottesville | 434.298.0188 www.cvillebraces.com

CHANDA ASHLEY, DDS Ashley Orthodontics Staunton | 540.885.6815 www.ashleyortho.com

SECOND PLACE

HONORABLE MENTION

DAVID NIELSEN, DO Charlottesville Orthopaedic Charlottesville | 434.244.8412 www.cvilleortho.com

A. BOBBY CHHABRA, MD UVA Orthopedics Charlottesville | 434.982.4263 www.uvahealth.com

THIRD PLACE

MEGAN SWANSON, MD Sentara Martha Jefferson Orthopedic Services Charlottesville | 434.654.5575 www.sentara.com

GEORGE GODETTE, MD Augusta Orthopedic Surgery Staunton | 540.885.1281 www.augustaortho.com


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www.OurHealthCville.com


OTOLARYNGOLOGY (ENT)

“The patient must be comfortable to share personal information with their physician in order for the physician to properly diagnose and evaluate treatment decisions and responses. It has always been a sacred relationship. If we lose our understanding of this, we lose our understanding of what it means to be a physician.” — Stephen D. Keefe, MD

FIRST PLACE STEPHEN D. KEEFE, MD

Dr. Stephen D. Keefe, MD–ENT & Facial Cosmetic Surgey Fishersville | 540.245.7028 www.drkeefeent.com

SECOND PLACE

HONORABLE MENTION

STEPHEN PARK, MD UVA ENT Clinic Charlottesville | 434.982.0251 www.uvahealth.com

STEPHEN EARLY, MD UVA Children’s Hospital Charlottesville | 434.924.5934 childrens.uvahealth.com

THIRD PLACE

MARK JAMESON, MD UVA ENT Clinic Charlottesville | 434.924.2040 www.uvahealth.com

PAIGE POWERS, MD Piedmont Otolaryngology Charlottesville | 434.220.0045 www.entdoc.com

PALLIATIVE MEDICINE

PAIN MANAGEMENT

SECOND PLACE (TIE) “I believe in listening to our patients and respecting their input. This results in outcomes that best improve their quality of life.” — Akhtar Purvez, MD

athelas

MARK DEAN, DO Albemarle Pain Management Associates Charlottesville | 434.975.2555 www.osteopathispainmanagement.com

FIRST PLACE

THIRD PLACE

AKHTAR PURVEZ, MD

RASHEED SIDDIQUI, MD Charlottesville Pain Management Center Charlottesville | 434.295.3600 www.charlottesvillepainmanagementcenter.com

Paine and Spine Center Charlottesville | 434.328.2774 www.painspinecenters.com

FIRST PLACE

“It is a sacred honor and blessing to share in the journey of our patients and their families. Establishing a personal connection with your patient is an essential step to the delivery of true compassionate care. Verbal and non-verbal communication skills are key to making this connection. Our primary focus as physicians should always be “first, do no harm” and in keeping with this guiding principle we should also seek out ways to give patients “more life in their days.” — Angela Stiltner, MD, HMDC

ANGELA STILTNER, MD, HMDC Hospice of the Piedmont Charlottesville | 434.817.6900 www.hopva.org

Establishing a personal connection with your patient is an essential step to the delivery of true compassionate care. Verbal and non-verbal communication skills are key to making this connection. — Tamila Kindwall-Keller, DO 30

JARED DAVIS, MD Augusta Health Pain Management Clinic Fishersville | 540.332.5747 www.augustahealth.com

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

SECOND PLACE

HONORABLE MENTION

JULIO SILVESTRE, MD UVA Palliative Care Clinic Charlottesville | 434.243.3922 www.uvahealth.com

PATRICK BAROCO, MD Augusta Health Post Acute Transitional Care Fishersville | 540.245.7262 www.augustahealth.com

THIRD PLACE JOSHUA BARCLAY, MD UVA Palliative Care Clinic Charlottesville | 434.924.9333 www.uvahealth.com


www.OurHealthCville.com

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PEDIATRICS

“Having a good bedside manner in Pediatrics is essential. Not only do we need to win over the child so we can effectively examine them or gain their trust, we also need to form a working partnership with the parents or guardians. You can't do that without establishing good interactions with all involved.” — Jay Gillenwater, MD, FAAP

FIRST PLACE

SECOND PLACE

HONORABLE MENTION

ROBERT MICHEL, MD Piedmont Pediatrics Charlottesville | 434.975.7777 www.piedmontpediatrics.net

JOSEPH FISHER, MD UVA Children’s Hospital - Augusta Pediatrics Fishersville | 540.932.0980 childrens.uvahealth.com

THIRD PLACE KARYN WOLFE, MD, FAAP Pediatric Associates of Charlottesville Charlottesville | 434.296.9161 www.charlottesvillepeds.com

JAY GILLENWATER, MD, FAAP

Pediatric Associates of Charlottesville Charlottesville | 434.296.9161 www.charlottesvillepeds.com

AMANDA JONES, MD Pediatric Associates of Charlottesville Charlottesville | 434.296.9161 www.charlottesvillepeds.com STEVEN MUMBAUER, MD, FAAP Valley Pediatric Group Verona | 540.885.8143 www.valleypediatricgroup.com

PHYSICAL THERAPY

PERIODONTICS

SECOND PLACE

FIRST PLACE

DAVID KRESE, DDS Charlottesville | 434.971.8159

DANIEL KELLY, DMD

THIRD PLACE

Daniel and Ellen Kelly, DMD Charlottesville | 434.977.4592 www.cvillekellydentist.com

FIRST PLACE LAURA COLEMAN, PT, CG

PT Plus Physical Therapy & Wellness Center Charlottesville | 434.984.0303 www.ptplushealth.com

athelas

DARLENE NICKOLETTI, DDS Charlottesville Periodontics Charlottesville | 434.529.8885 www.cvilleperio.com

SECOND PLACE

HONORABLE MENTION

JAMES COLLINS, PT, CSCS Pantops Physical Therapy & Occupational Therapy Charlottesville | 434.245.6472 www.pantopsphysicaltherapy.com

ANDREW BALDWIN, PT, DPT Select Physical Therapy Waynesboro | 540.943.2318 www.selectphysicaltherapy.com

THIRD PLACE TOBIN FORBUS, MS, PT, DPT Synergy Rehab and Wellness Verona | 540.416.0530 www.synergyrehabandwellness.com

TONY GRILLO, PT, DPT Rehab Associates of Central Virginia Charlottesville | 434.327.1616 www.racva.com

PHYSICIAN ASSISTANT (PA)

SECOND PLACE

32

“Being honest, approachable, and passionate are the most important qualities I want to display through my bedside manner with patients. Expressing these traits in my interactions with patients helps build relationships that promotes my patients' wellness and makes my job fun!” — Katherine Loose, PA-C

DENISE JACKSON, PA UVA Pediatric Otolaryngology Charlottesville | 434.924.0123 childrens.uvahealth.com

THIRD PLACE JOHANNA CLAASEN, PA Albemarle Center for Family Medicine Charlottesville | 434.973.4040 www.albemarlecenter.com

FIRST PLACE

HONORABLE MENTION

KATHERINE LOOSE, PA-C

LISA BRADEN, PA Sentara Martha Jefferson Orthopedic Services Charlottesville | 434.654.5575 www.sentara.com

Charlottesville Dermatology Charlottesville | 434.984.2400 www.cvillederm.com

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville


2 01 7 B EST B EDSI DE MANNER AWAR DS | Charlottesville & Shenandoah Valley

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www.OurHealthCville.com


— Steven Keefe, MD

PLASTIC SURGEON: COSMETIC PLASTIC SURGEON: RECONSTRUCTIVE

The patient must be comfortable to share personal information with their physician in order for the physician to properly diagnose and evaluate treatment decisions and responses. It has always been a sacred relationship. If we lose our understanding of this, we lose our understanding of what it means to be a physician.

FIRST PLACE

“I strive to ensure my patients feel as comfortable and confident as possible throughout treatment. Good bedside manner is the first step in establishing a strong doctor-patient relationship. Building that rapport starts with the very first visit and helps my patients feel at ease during the healing process.” — Brian Showalter, MD

BRIAN SHOWALTER, MD

Sentara Martha Jefferson Aesthetic and Reconstructive Surgery Charlottesville | 434.654.8920 www.mjhplasticsurgery.org

“I’ve been lucky enough to have some great surgeons get me back on my feet after injuries. I learned that healing requires someone coming alongside us, knowing us, and giving of themselves in an effort to make the crooked straight. I love that I have the opportunity to do the same with each of my patients.” — J. Jared Christophel, MD, MPH, FACS

PODIATRY PSYCHIATRY

STEPHEN PARK, MD UVA Facial Plastic and Reconstructive Surgery Charlottesville | 434.982.0251 www.uvahealth.com

THIRD PLACE ELIZABETH CHANCE, MD Sentara Martha Jefferson Aesthetic and Reconstructive Surgery Charlottesville | 434.654.8920 www.mjhplasticsurgery.org

SECOND PLACE JONATHAN BLACK, MD UVA Plastic Surgery Clinic Charlottesville | 434.924.5244 www.uvahealth.com

FIRST PLACE J. JARED CHRISTOPHEL, MD, MPH, FACS

UVA Facial Plastic and Reconstructive Surgery Charlottesville | 434.982.0251 www.uvahealth.com

“It’s important to remember that practicing medicine is as much an art as it is a science. I find that the “art” of getting patients to relax makes them more receptive to the scientific information I have to share with them.” — Christopher Stewart, DPM

34

SECOND PLACE

FIRST PLACE CHRISTOPHER STEWART, DPM

Central Virginia Foot & Ankle Laser Center Charlottesville | 434.979.0456 www.cvillefootankle.com

“I try to be fully present with the patient, to carefully listen and understand, to be honest and direct, and to talk about important information even if the topic is difficult to discuss. That way, the patient and I can make decisions together to individualize their care.” — Anita Clayton, MD

FIRST PLACE ANITA CLAYTON, MD

UVA Psychiatry and Neurobehavioral Services Charlottesville | 434.243.4646 neuro.uvahealth.com

SECOND PLACE JOSEPH DISABATO, DPM Virginia Foot & Ankle Surgical Associates Charlottesville | 434.977.8040 www.vfasa.com

THIRD PLACE STEWART CHANG, DPM Blue Ridge Foot & Ankle Clinic, PLC Charlottesville | 434.979.8116 www.brfootandankle.com

SECOND PLACE DAVID MEYER, DO Augusta Psychological Associates Fishersville | 540.949.4202 www.augustapsychological.com

THIRD PLACE NASSIMA AIT DAOUD TIOURIRINE, MD UVA Psychiatry and Neurobehavioral Services Charlottesville | 434.243.0570 neuro.uvahealth.com


PSYCHOLOGY & COUNSELING

PULMONARY RADIATION ONCOLOGY RADIOLOGY

SECOND PLACE PEGGY RUDNICK, LCSW, BCD Virginia Center for Family Relations Charlottesville | 434.973.5640 www.vcfr.us

FIRST PLACE GINNY HARRIS, MAED, LPC Valley Hope Counseling Center Waynesboro | 540.941.8933 valleyhopecc.org

athelas

THIRD PLACE EMILIE THOMAS, MA, LMFT Valley Pastoral Counseling Center Waynesboro | 540.943.8722 www.valleypastoral.org

HONORABLE MENTION KRISTA JANA, PHD Charlottesville | 434.227.6331 www.drkristajana.com

FIRST PLACE DANA ALBON, MD

“Good bedside manners allow me to establish a relationship of trust and partnership with my patients. Practicing good beside manners, maintaining a positive attitude, listening to the patient, and being respectful and compassionate allows me to establish a strong relationship to the patients, get to know the patients better, and better understand their expectations from the visit or hospitalization. Together, we can co-produce a plan of care that is in alignment with their goals and increases satisfaction with their care.” — Dana Albon, MD

UVA Transplant Center Charlottesville | 434.924.5219 www.uvahealth.com

FIRST PLACE

“I treat cancer patients, many of whom have life threatening problems and need a physician who will spend extra time with them, listen to them, and help them understand their problem and all of their treatment options. They need a physician who will be honest with them. I treat my patients how I would want myself or my family to be treated.” — Paul Read, MD

PAUL READ, MD

UVA Cancer Center Charlottesville | 434.924.5191 cancer.uvahealth.com

FIRST PLACE ALAN MATSUMOTO, MD

“I believe that a patient really doesn’t care how much a physician knows until they know how much the physician cares about them. Therefore, taking the time to listen and understand a patient’s health care needs, fears and expectations are the bedside skills and manners that allow the physician to show the patient how much the physician cares, which is so critical for a positive and productive patient-physician relationship.” — Alan Matsumoto, MD

UVA Radiology and Medical Imaging Charlottesville | 434.243.4961 www.uvahealth.com

SECOND PLACE YUN SHIM UVA Pulmonary Clinic Charlottesville | 434.924.5210 www.uvahealth.com

THIRD PLACE C. LAURA GONZALEZ, MD Augusta Health Pulmonology Fishersville | 540.245.7190 www.augustahealth.com

SECOND PLACE ROBERT KYLER, MD Shenandoah Valley Radiation Oncology Associates Fishersville | 540.245.7100 www.augustahealth.com

THIRD PLACE EINSLEY-MARIE JANOWSKI, MD UVA Cancer Center Charlottesville | 434.982.6278 cancer.uvahealth.com

SECOND PLACE THOMAS ZUMSTEG, MD Blue Ridge Radiologists, Inc. Staunton | 540.886.0988 www.augustahealth.com

THIRD PLACE SUGOTO MUKERJHEE, MD UVA Radiology and Medical Imaging Charlottesville | 434.982.1736 www.uvahealth.com

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RHEUMATOLOGY

SECOND PLACE ANN HENRY, MD Ann Henry MD – Rheumatology Waynesboro | 540.943.2833

athelas

THIRD PLACE

FIRST PLACE ADAM CARLSON, MD

UVA Rheumatology Clinic Charlottesville | 434.243.0223 www.uvahealth.com

KEITH FRICK, MD UVA Rheumatology Pantops Charlottesville | 434.243.0439 www.uvahealth.com

SLEEP MEDICINE

SECOND PLACE

“If patients don't feel like you are on their side, therapies usually go nowhere. Building rapport leads to the cure!” — Christopher Winter, MD

FIRST PLACE CHRISTOPHER WINTER, MD

Charlottesville Neurology and Sleep Medicine Charlottesville | 434.293.9149 www.cvilleneuroandsleep.com

ELIZABETH FOREMAN, MD Sentara Martha Jefferson Medical & Surgical Associates Charlottesville | 434.654.5260 www.sentara.com

THIRD PLACE EVAN WENGER, MD Augusta Health Sleep Center Fishersville | 540.332.4169 www.augustahealth.com

HONORABLE MENTION ERIC DAVIS, MD UVA Sleep Disorders Center Charlottesville | 434.924.0000 www.uvahealth.com

SURGERY: CARDIAC

SPORTS MEDICINE

SECOND PLACE

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“Communicating well with patients is the only way to effect the changes in their lives that patients are seeking from me as a surgeon.” — Jack Otteni, MD

FIRST PLACE

THIRD PLACE RAMON ESTEBAN, MD Shenandoah Valley Orthopedics & Sports Medicine Fishersville | 540.932.5850 www.shenandoahvalleyorthopedics.com

HONORABLE MENTION

JACK OTTENI, MD

Shenandoah Valley Orthopedics & Sports Medicine Fishersville | 540.932.5850 www.shenandoahvalleyorthopedics.com

“To me, every person is a part of humanity and deserves and appreciates when their doctor can spend a moment to hold their hand and talk to them when they are in time of suffering.” — Gorav Ailawadi, MD

FIRST PLACE GORAV AILAWADI, MD

ERIC CARSON, MD UVA Sports Medicine Clinic Charlottesville | 434.243.7778 www.uvahealth.com

UVA Heart and Vascular Center Charlottesville | 434.924.5052 heart.uvahealth.com

STEPHEN BROCKMEIER, MD UVA Sports Medicine Clinic Charlottesville | 434.243.7778 www.uvahealth.com

SECOND PLACE JOHN KERN UVA Heart and Vascular Center Charlottesville | 434.982.4301 heart.uvahealth.com

THIRD PLACE LEORA YARBORO, MD UVA Heart and Vascular Center Charlottesville | 434.924.2158 heart.uvahealth.com


SURGERY: NEUROSURGERY

SURGERY: GENERAL

SECOND PLACE “In an era with growing distractions, it is becoming increasingly difficult to connect with your patients on a human level. Yet it is this basic human connection that ultimately allows one to provide compassionate care.” — William Blake McKibbin, MD

FIRST PLACE WILLIAM BLAKE MCKIBBIN, MD Augusta Surgery Fishersville | 540.332.5909 www.augustasurgery.org

FIRST PLACE

“I simply believe in the Golden Rule of treating people the way that I’d want to be treated. I’m, of course, appreciative of this award but there are plenty of providers in the UVA system who deserve it more. The fact is that our nurses and support staff do much of the hard work for which we as physicians get credit, thanks, and praise. I’m just lucky enough to work with a lot of those people.” — John Jane, Jr

JOHN JANE JR., MD

UVA Children’s Hospital Charlottesville | 434.243.5749 childrens.uvahealth.com

JOHN JONES, MD Virginia Breast Care Charlottesville | 434.984.6121 www.vabreastcare.com

THIRD PLACE RUDOLPH RUSTIN, III, MD UVA Surgery Charlottesville | 434.924.2150 www.uvahealth.com

HONORABLE MENTION WILLIAM THOMPSON, MD, FACS Shenandoah Valley Surgical Associates Fishersville | 540.332.5999 www.svsainc.com

SECOND PLACE KENNETH LIU, MD UVA Health System *Note: Dr. Liu has recently relocated out of the area.

THIRD PLACE KELLY MAHANEY, MD UVA Health System *Note: Dr. Mahaney has recently relocated out of the area.

“I simply believe in the Golden Rule of treating people the way that I’d want to be treated. I’m, of course, appreciative of this award but there are plenty of providers in the UVA system who deserve it more. The fact is that our nurses and support staff do much of the hard work for which we as physicians get credit, thanks, and praise. I’m just lucky enough to work with a lot of those people.”

SURGERY: VASCULAR

SURGERY: SPINE

— John Jane, Jr, MD “Good bedside manner is important because it lets patients know that they matter. Our bedside manner should encompass not only our medical knowledge but gives us the opportunity to form a relationship with our patients as we develop trusting bonds to help them return as quickly as possible to their highest level of function.” — Matthew Pollard, MD

FIRST PLACE MATTHEW POLLARD, MD

Augusta Health Spine Clinic Fishersville | 540.245.7400 www.augustahealth.com

FIRST PLACE JOHN LIGUSH, MD

“I never really think about 'bedside manner' per se. I only think about being as down to earth as possible and connecting with patients to allow them the best opportunity to understand what is frequently a very challenging medical problem. Be honest and straightforward, and always treat a patient as if they were a family member and the doctor-patient relationship will most often be a sound one.” — John Ligush, Jr., MD

Sentara Martha Jefferson Vascular & Vein Center Charlottesville | 434.654.1700 www.sentara.com/vascular

SECOND PLACE CHRISTOPHER SHAFFREY, MD UVA Spine Center Charlottesville | 434.243.7026 neuro.uvahealth.com

THIRD PLACE ADAM SHIMER, MD UVA Spine Center Charlottesville | 434.243.3633 www.uvahealth.com

SECOND PLACE CHARLES GOFF, MD, FACS Shenandoah Valley Surgical Associates Staunton | 540.332.5999 www.svsainc.com

THIRD PLACE LEWIS OWENS, MD, FACS Sentara Martha Jefferson Vascular & Vein Center Charlottesville | 434.654.1700 www.sentara.com/vascular

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URGENT CARE MEDICINE

UROLOGY 38

“Regarding bedside manner: Sit reasonably close, maintain eye contact, be unhurried, find common ground, ask permission frequently, provide humor when appropriate, and give credit where it is due. 'Without faith a man can do nothing; with it all things are possible.' William Osler” — William Talbott, MD

FIRST PLACE WILLIAM TALBOTT, MD

First Med Urgent Care Charlottesville | 434.984.4200 www.firstmedcharlottesville.com

“The majority of my practice is operating on patients who are under stress as they have not only been diagnosed with cancer but now have to face a major operation. Their healthy outcome hinges on having a positive mental attitude going into surgery. If they know I care about them as a person and not just a patient, I believe I gain their trust and we establish a partnership.” — Tracey Krupski, MD

FIRST PLACE TRACEY KRUPSKI, MD

UVA Urology Clinic Charlottesville | 434.924.2224 www.uvahealth.com

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

SECOND PLACE DANIEL CHAN, MD MedExpress Urgent Care Charlottesville | 434.244.3027 www.medexpress.com

athelas

THIRD PLACE BENJAMIN FARLEY, MD Augusta Health Urgent Care Fishersville | 540.932.4000 www.augustahealth.com

SECOND PLACE

HONORABLE MENTION

WILLIAM JONES, MD Blue Ridge Urological Associates Fishersville | 540.332.5926 www.blueridgeurological.com

JULIAN FAGERLI, MD Urological Associates, Ltd. Charlottesville | 434.295.0184 www.cvilleurology.com

THIRD PLACE

RYAN SMITH, MD UVA Urology Clinic Charlottesville | 434.924.2224 www.uvahealth.com

RAYMOND COSTABILE, MD UVA Urology Clinic Charlottesville | 434.243.9392 www.uvahealth.com


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ALBEMARLE DENTAL ASSOCIATES www.getaperfectsmile.com

Albemarle Dental Associates A Truly Different Dental Experience Awaits You at Albemarle Dental Associates

Jeffery E. Hodges, DDS

At Albemarle Dental Associates, we completely understand that visiting the dentist can be a stressful experience. That’s why we‘ve made it our mission to put your comfort at the center of all we do. From the moment you enter our doors, you are welcomed with warm smiles and compassionate voices that make you feel right at home. Dr. Hodges and his team never make you feel rushed; we take the time to talk with you and learn more about you as a person. We answer any questions you have to put you at ease and always provide our new patients with a tour of our office. During your appointment, you will relax in a cozy chair with a soft pillow. We provide you with your own personal ear buds and selection of favorite music along with a gentle, lavender hand wax massage therapy, and you are always offered complimentary beverages and snacks, including warm, baked cookies. What’s more, all new patients receive a free gift as a thank you for allowing us to care for you. With more than 30 years experience practicing in Charlottesville, you can always trust that Dr. Hodges will provide you the type of state-of-the-art dentistry care you expect. But our treatment of you as a person and as part of our family is what sets us apart and makes you feel most confident in the care you receive. We welcome you to visit us and experience first hand what a different – and better – dental experience is like.

Personalized Comprehensive Care

Katey, RDH

Albemarle Dental Associates offers comprehensive oral care services for the entire family, all in one place. A selection of our services include, but are not limited to:

2250 Old Ivy Road, Suites 3 & 4 Charlottesville | 434.326.0120 www.getaperfectsmile.com

F Hours: Monday – Thursday 7 AM – 5 PM Friday 7 AM – 1 PM

General oral checkups

Periodontal therapy

Implants

Bonding

Dentures

Root canal therapy

Dental bridges

Whitening

Crowns

Tissue grafts

Retainers

Mouth guards

Veneers

Extractions

Tooth restoration

“Our goal is to put a smile on your face. Our intention is to do it figuratively by being a patient-centered, caring group of professionals who are dedicated to improving your oral health, and literally by offering you results-based, proven treatments to provide an optimum level of dental care.“ 40

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CHARLOTTESVILLE GASTROENTEROLOGY ASSOCIATES 1139 East High Street | Suite 203 | Charlottesville | 434.817.8484 | www.cvillegi.com

Charlottesville Gastroenterology Associates Michael J. Oblinger, MD | Arun R. Mannem, MD | Diego A Gomez, MD | Emily M. Christman, MD | Daniel J. Pambianco, MD | David H. Balaban, MD

F

or more than 35 years, all of us at Charlottesville Gastroenterology Associates have been committed to providing exceptional, patient-centered care for the prevention, diagnosis and treatment of digestive diseases. Our six highly experienced physicians, advanced care practitioners, and support staff work hard at combining state-of-the-art medical expertise with a team approach to providing health care services that are courteous, efficient, and compassionate. Our work has earned the trust and confidence of thousands of patients and their referring physicians. Conditions we treat include abdominal pain, Crohn’s disease, acid reflux, constipation, and many others.

anesthesia, a deeper level of sedation that provides greater comfort and safety during colonoscopy, upper endoscopy, and other in-office diagnostic procedures. In-hospital procedures are performed at Martha Jefferson Hospital in Charlottesville. In addition, we offer access to clinical trials that provide an opportunity to pursue investigational treatments at the cutting edge of medicine. Please call us at 434.817.8484 to schedule your consultation with us.

We offer an array of in-office procedures using our staff anesthesiologist, which affords our patients monitored www.OurHealthCville.com

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Charlottesville Orthodontics

F

www.charlottesvilleorthodontics.com

Orthodontics For All Ages At Charlottesville Orthodontics, we believe that everyone deserves to have a smile to be proud of and that’s why we offer orthodontic treatment for patients of all ages. Whether your child is a candidate for early orthodontic treatment or as an adult you’re ready to begin straightening your teeth and achieve a functional bite, we offer a wide range of orthodontic solutions. We welcome you and your loved ones to our practice to evaluate which treatment option best addresses your orthodontic needs and fits your lifestyle.

The Best Orthodontic Technology For Your Smile Because we are dedicated to providing our patients with the best orthodontic treatment, we aim to stay informed about the latest advancements in orthodontic technology. In doing so, we feature a comprehensive set of orthodontic options, from traditional systems and time-proven methods, like metal braces, to revolutionary and cutting-edge technology, like Invisalign, clear braces, and impression-free digital scans.

Dr. Barton Weis and Dr. Taylor Varner

Call us for your complimentary orthodontic consultation. We look forward to helping you achieve a smile you can be proud of! 1620 Timberwood Blvd., Suite 201 Charlottesville | 434.245.9601

1101 East Jefferson Street Charlottesville | 434.971.9601

70 Jefferson Court, Suite 100 Zion Crossroads | 540.832.6630

Edward T. Wolankski, MD, PC Gynecology Services 600 Peter Jefferson Parkway | Suite 300 | Charlottesville | 434.293.9800 | Office hours: Mon – Fri: 8:30 am – 4:30 pm

D

r. Wolanski is a boardcertified OB/GYN who has been supporting the healthcare needs of women for more than 30 years. Having retired his obstetric practice in 2016, Dr. Wolanski is now focused on gynecologic care supporting the healthcare needs of women throughout their lifespans. He treats the person, not the medical condition, and supports women in developing healthy lifestyles through good nutrition and exercise. This respectful method allows women to participate actively in decisions involving their healthcare. Dr. Wolanski offers both routine preventative care and treatment for a wide range of conditions of the reproductive system.

Well Woman Care Dr. Wolanksi provides well woman visits that give you the opportunity to ask questions and to express and explore any concerns you may have about your reproductive health in general. They include a pelvic and breast exam, screen for diseases, assessment of your general lifestyle, and plans for reproduction or 42

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

contraception. When appropriate, perimenopause and menopause issues are addressed and treated at the well woman visit.

Treatment of Gynecologic Issues Dr. Wolanski specializes in a wide range of conditions of the reproductive system, including cervical conditions, colposcopy, hormonal conditions, ovarian conditions, perimenopause/ menopause, STI/STD, uterine conditions and vaginal and vulval conditions.

Surgical Options for Gynecologic Issues Dr. Wolanski is highly trained in performing surgical procedures including uterine ablation, hysteroscopy, hysterectomy/salpingooophorectomy, laparoscopy, D&C and laparoscopic tubal ligation. All surgeries are performed at Sentara Martha Jefferson Hospital.

Pregnancy-related Services Although Dr. Wolanski no longer provides prenatal care or labor and delivery services, he does offer treatment of various pregnancyrelated conditions including pregnancy confirmation and initial workup, treatment of miscarriage, ectopic pregnancy and fertility issues. For more information about Dr. Wolanski, his staff and services, visit www.wolankskigyn.com or to schedule an appointment call 434.293.9800.


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Helpful Tips F O R E AT I N G

HEART HEALTHY THIS

Holiday Season words | OURHEALTH STAFF WRITER

The holiday season is all about family, fun and food! Getting your family to eat heart-healthy, especially during the holidays, takes effort. In partnership with the American Heart Association, OurHealth Charlottesville & Shenandoah Valley magazine brings you these great tips and recipes to help you navigate the holiday season in a healthy way.

1

WATCH THE SODIUM Limit your sodium.

Did you know that many of your favorite holiday dishes may be packed with sodium? Breads and rolls, poultry, and canned soups are three common foods that can add sodium to your diet. When shopping for ingredients to prepare your holiday meal, compare the labels and choose options with the lowest amount of sodium.

Savor the flavor.

Use herbs and spices, like rosemary and cloves, to flavor dishes instead of salt or butter.

Rinse away.

When using canned beans or veggies, drain and rinse in a colander to remove excess sodium.

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2 TURKEY TALK Outsmart the bird.

Reach for the lighter pieces of meat; they have fewer calories and less fat than the darker ones. Another way to cut calories and fat is to take off the skin.

Keep portions in check.

A serving size of meat is 3 ounces, about the size of a deck of cards. So, be conscious of how much you put on your plate, and pass on that second helping. If you’re also having another meat, like ham or lamb, take smaller portions of each.

Watch out for the gravy train. Turkey usually comes with gravy, which can add excess fat, calories and sodium. Limit gravy to a tablespoon, and keep it off other items, like the dressing.

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HEART HEALTHY HOLIDAYS CHECKLIST

CASSEROLES

WHAT YOU SHOULD INCLUDE:

What’s in it?

Fruits and vegetables Whole grains Beans and legumes Nuts and seeds Fish, skinless poultry, and plant-based alternatives

Holiday casseroles can be filled with fat, sugar or sodium. Your best bet is to limit yourself to a small spoonful of casserole and fill the rest of your plate with a serving of lean protein along with roasted or sautéed veggies and tossed salad instead.

Fat-free and low-fat dairy products Healthier fats and nontropical oils WHAT YOU SHOULD LIMIT: Sodium and salt Saturated fat Sweets and added sugars, including sugar-sweetened beverages Red meats — if you choose to eat red meat, select the leanest cuts WHAT YOU SHOULD AVOID: Trans fat and partially hydrogenated oils

DRESSING Call it what it is. Dressing is intended to be a complement to your meal, not an entree. To keep calories and excess fat in check, aim for 1/4 cup (or about half a scoop with a serving spoon).

Judge it by its cover. If the dressing is filled with fatty meats like sausage and pork, looks greasy or buttery, or is made with white bread or sweet rolls, it may be best to pass. Better options would be dressings that have whole grain or cornbread, lean meat (or no meat), nuts (like almonds or walnuts), and lots of veggies and fruits. Aim for 1/4 cup serving of dressing. This is about half a scoop with serving spoon.

REMEMBER TO STAY PHYSICALLY ACTIVE! The holiday season is about family and food – and all too often, adding a few extra pounds to our waistlines. Being physically active throughout the entire year is important to maintaining a healthy weight. The American Heart Association recommends that children (up to age 18) get at least 60 minutes a day and adults get at least 150 minutes per week of moderately vigorous physical activity. 46

DESSERTS Treat yourself right. The best way to enjoy an occasional sweet without losing control is by sampling a selection or two, rather than having full servings. For example, have one bite of pie, half a cookie or one small square of fudge. Find a friend or family member who will stick to the sampling rule with you.


ORANGE-GLAZED TURKEY WITH POTATOES & CARROTS

6 servings

INGREDIENTS

DIRECTIONS

Cooking spray

1.

1 ½ to 1 ¾ pounds boneless turkey breast roast, skin and fat removed

2. Spray a 9x13-inch casserole dish with cooking spray and place the turkey in the dish.

2 teaspoons mixed dried herbs (mix a combination of any/all – rosemary, basil, parsley, tarragon, chives, thyme, sage)

3. In a small bowl, mix dry ingredients (herbs, salt, pepper, garlic powder). Rub half of mixture over the turkey.

¾ teaspoon salt ½ teaspoon black pepper ½ teaspoon garlic powder

Preheat oven to 375 degrees.

4. Spread marmalade over turkey. 5. Stir potatoes, carrots and oil into remaining herb mixture. Place vegetables in dish around the turkey. Bake for 1 hour. 6. Remove from oven and let sit 5-10 minutes to allow juices to redistribute.

3 tablespoons no-sugar added orange marmalade 1 pound potatoes scrubbed and cut in to 1-inch cubes (can use any type of potatoes) 1 tablespoon extra virgin olive oil 4 medium carrots, peeled and cut in to 1-inch sections

NUTRITION FACTS: Per Serving Calories: 257. Total Fat: 3.5 g, Saturated Fat: .5 g, Trans Fat: 0.0 g, Polyunsaturated Fat: .5 g, Monounsaturated Fat: 2.0 g, Cholesterol: 76 mg, Sodium: 389 mg, Carbohydrate: 23 mg, Fiber: 3 g, Sugar: 7 g, Protein: 32 g, Dietary Exchanges: 1 starch, 1 vegetable, 4 lean meat

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MAPLE SYRUP-GLAZED

SWEET POTATO CASSEROLE

6 servings | 1 cup per serving

INGREDIENTS

DIRECTIONS

40 ounces canned, chopped sweet potatoes in light syrup, drained (or 1 1/2 pounds cooked sweet potatoes)

1.

1 ¼ teaspoon pumpkin pie spice, divided ¼ teaspoon salt 1 teaspoon vanilla extract 2 large egg whites ¼ cup unsalted pumpkin seeds (pepitas) 1 tablespoon olive oil 2 tablespoons maple syrup 2 tablespoons all-purpose flour

Preheat oven to 400 degrees.

2. Drain the sweet potatoes and add to large bowl. Using a potato masher or fork, mash well. Stir in 1 teaspoon pumpkin pie spice, salt, and extract. 3. Add egg whites into mixer bowl. Using a whisk attachment (or a hand mixer) whip the egg whites on high speed until firm peaks form, about 3 to 4 minutes. Use a spatula to gently fold egg whites into the sweet potato mixture. 4. Coat a 1.5-quart baking dish with cooking spray. Transfer the sweet potato mixture into the baking dish. 5. In a small bowl, stir together pumpkin seeds, oil, maple syrup, flour, and remaining ¼ teaspoon pumpkin pie spice. Sprinkle over the sweet potatoes. 6. Bake in preheated oven until sweet potatoes are fluffy and topping is golden-brown, about 20 to 25 minutes.

NUTRITION FACTS: Per Serving Calories: 249, Total Fat: 5.5 g, Saturated Fat: 0.9 g, Trans Fat: 0.0 g, Polyunsaturated Fat: 1.6 g, Monounsaturated Fat: 2.0 g, Cholesterol: 0 mg, Sodium: 176 mg, Carbohydrates: 46 g. Dietary Fiber: 5 g, Total Sugars: 13 g. Protein: 5 g, Dietary Exchanges: 3 starch, ó fat

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GREEN BEAN SALAD VINAIGRETTE 12 servings | 1/2 cup per serving

INGREDIENTS

DIRECTIONS

1 quart water for fresh green beans or ¼ cup for frozen

1.

1 pound fresh or frozen green beans

2. Meanwhile, fill a large bowl with cold water. When the beans are ready, drain them in a colander, then plunge them into the cold water to stop the cooking process and cool quickly. Once the beans are cold, drain well and pat dry with paper towels.

1 tablespoon raspberry vinegar or red or white wine vinegar ¾ to 1 teaspoon yellow mustard ½ teaspoon finely snipped fresh thyme or 1 ½ teaspoons dried, crumbled ½ teaspoon finely snipped fresh parsley or 1 ½ teaspoons dried, crumbled ½ teaspoon honey ½ medium garlic clove, minced

In a large saucepan, bring the water to a boil over high heat. Add the beans. Boil for 5 minutes.

3. While the beans are cooling, in a separate large bowl, whisk together the vinegar, mustard, thyme, parsley, honey, and garlic. Slowly whisk in the oil, continuing to whisk until thoroughly combined. Whisk in the salt and pepper. 4. Add the green beans, bell pepper, and onion to the vinegar mixture. Toss to coat. Cover and refrigerate for at least 30 minutes. Just before serving, sprinkle with the lemon zest.

¼ cup canola or corn oil 1/8 teaspoon salt 1/8 teaspoon pepper, or to taste 1 medium red bell pepper, cut lengthwise into thin strips ½ to 1 small red onion, cut lengthwise into thin strips

NUTRITION FACTS: Per Serving Calories: 29, Total Fat: 1.0 g, Saturated Fat: 0 g, Trans Fat: 0 g, Polyunsaturated Fat: .5 g, Monounsaturated Fat: .5 g, Cholesterol: 0 mg, Sodium: 52 mg, Carbohydrate: 4 g, Fiber: 2 g, Sugar: 1 g, Protein: 1 g, Dietary Exchanges: 1 vegetable

¼ teaspoon grated lemon zest www.OurHealthCville.com

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words |BRANDY CENTOLANZA

Type II Diabetes, a disease in which there is a high level of sugar in the blood, is on the rise. As of 2015, roughly 100 million adults in America were considered pre-Diabetic or Diabetic. A poor diet and lack of exercise are partially to blame.

It is Reversible The good news is this type of Diabetes is reversible. (Type I Diabetes, meanwhile, is considered an autoimmune disease in which the body does not produce insulin. Only five percent of those diagnosed with Diabetes have Type I).

The US Diet Plays a Huge Role in the Increase of Type II Diabetes The reason for the increase in the number of Type II Diabetes is the reliance on a Western diet: fast foods and processed foods with an exorbitant amount of calories and sugar. Think refined carbohydrates such as white bread and pasta and sweets such as soda and candy. “Our bodies are not designed for that,� says Nelly Maybee, MD with the Augusta Health Diabetes and Endocrinology Clinic. Dr. Maybee is also the medical director for the Diabetes education program. Obese individuals who subsist on an unhealthy diet and do not exercise are most at risk for developing Type II Diabetes. Family history and genetics may also play a factor. Once

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FAMILY CARE

STEP

Approach to

MANAGING DIABETES

diagnosed, patients typically work with physicians and Diabetes educators to form a plan to help manage the disease before it leads to other health problems. “It starts with a lifestyle change, first and foremost,” says Dr. Maybee.

The Three-Step Approach to Managing Diabetes There is a three-step approach to managing Diabetes that includes maintaining a healthy diet, daily physical activity, and the intake of any possible prescribed medications. Patients who are considered pre-Diabetic (which means they are likely to develop the disease within five years) and those who are Diabetic should first begin by eliminating any sugary, processed foods from their diet.

Cut out Sugar

1

Cut out Sugar

The less sugar you take in, the better it is for your body.

“Sugar is the biggest source of our obesity problem and Diabetes epidemic,” explains Dr. Maybee. “Patients should limit their sugar intake to a minimum. This includes breakfast cereal, snack bars, desserts, and soft drinks, both regular and diet. The less sugar you take in, the better it is for your body.”

Drink Plenty of Water Drink water instead of juice or soda, and choose foods that are lower in calories, saturated fat, trans fat, sugar, and salt. Incorporate more foods with fiber, such as whole grain cereals, breads, rice or pasta as well as more fruits and vegetables, especially green, leafy vegetables.

Increase Physical Activity, but Start Slowly

2

Drink Plenty of Water

In addition to altering their diet, Diabetes patients are encouraged to get at least 30 minutes of physical exercise daily at least five days a week. The goal is to reach 10,000 steps a day. Aerobic exercise combined with resistance training such as weightlifting or yoga twice a week will help control blood sugar levels more effectively.

Drink water instead of juice or soda.

Dr. Maybee recommends starting slowly when making any lifestyle changes. “Ten to fifteen minutes of walking a day is a good start,” she says. “This is going to be a permanent change, and not something that is going to happen overnight. Take things one step at a time, and set realistic expectations for yourself.”

3

Increase Physical Activity, but Start Slowly Try to get at least 30 minutes of physical exercise daily at least five days a week.

Monitor Your Glucose Levels It is also important to monitor the disease. Patients need to keep a glucose meter nearby, check their blood sugar level frequently and know what to do if the level is too low or too high (a normal reading is 100, with a range between 70-120). Blood sugar levels can change in response to food, exercise, alcohol, illness, or medications.

Symptoms of Type II Diabetes Symptoms of type II Diabetes include increased thirst and hunger, dry mouth, frequent urination, unexplained weight loss, fatigue, blurred vision, headaches, or numbness and tingling in the hands and feet. It can lead to more serious conditions that impact internal organs if it is not treated. Medications and insulin therapy may

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FAMI LY CAR E |

be necessary, which can be costly and come with a series of side effects, so Dr. Maybee advises patients not to rely only on medicine.

One out of every four people has type II Diabetes without realizing it. The disease can lead to further complications including kidney disease, heart disease, and stroke. Diabetics are also more prone to gum infections and problems with their feet. Patients should check their teeth and feet daily, and consult their doctors if their gums bleed or look red or swollen, or if their feet have sores, redness, or swelling that doesn’t heal. “The earlier you start addressing the issues, the better,” concludes Dr. Maybee. “Diabetes will progress if you don’t do anything about it.”

Leading a Better Lifestyle is the Best Way to Beat Diabetes

“Diabetes medications are very expensive,” she says. “That is another way I try to motivate my patients about the disease.”

“It starts with a lifestyle change, first and foremost.” NELLY MAYBEE, MD

EXPERT CONTRIBUTOR Nelly Maybee, MD with the Augusta Health Diabetes and Endocrinology Clinic.

ON THE WEB

with the Augusta Health Diabetes and Endocrinology. Dr. Maybee is certified by the American Board of Internal Medicine with a subspecialty in endocrinology, diabetes and metabolism.

More at ourhealthcville.com

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Is Your Teen at Risk for

Depression and Anxiety?

words | CHRISTY RIPPEL

How to help your child navigate a brave new world of challenges Teen angst is nothing new—raging hormones and swirling emotions are a part of growing into adulthood. Sometimes, though, the “normal” teenage experience crosses the line into a real battle with anxiety or depression or both. More than 75 percent of all mental health conditions begin before the age of 24, according to the National Alliance on Mental Illness, so the teen years are often when issues crop up. What’s most concerning is that several recent studies have documented an alarming increase in mental health issues among high school and college students. So why are today’s kids stumbling more than previous generations, and what can parents do about it?

Increased Pressure to Succeed Modern parents are often concerned about their child’s performance in everything from the classroom to the music room to the basketball court at very early ages. This parental anxiety can have a trickledown effect. Wendy Summer, LPC, of Charlottesville Counseling Services, counsels parents and teens and says that today’s teens feel a lot of pressure to succeed. “We raise our kids, generally speaking, to be really focused on a lot of

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FAMILY CARE

external achievement,” Summer says. “What we don’t generally teach them is how to manage their emotions…how to master what is happening inside of you.” Summer says teens often bury emotions when they come up, unsure of how to deal with them. They push through, aiming for As, trophies and a spot on the select soccer team. The success-driven parenting culture has insulated kids from making low-risk mistakes at early ages. Recovering from those small mistakes builds the resiliency to cope with bigger challenges in the teen years—and knowing that mistakes are ok, and life goes on.

PARENTING TO DO: Allow your kids to mess up and accept the consequences at early ages. Don’t bring their homework and musical instruments to them when

they forget them, and make sure to manage your own anxieties about your child’s performance in school, sports and activities. Getting a bad grade or being cut from a team are not reasons to panic.

Social Media Woes

“What we don’t generally teach them is how to manage their emotions…

Previous generations of teens did not have to deal with social media pressures, a 24/7 news cycle and cyber bullying, which can contribute to depression and anxiety in this vulnerable age group. One study shows that when we look at social media, our mind takes all the different profiles and merges them into one. So, if we look at one person who is good at athletics, one who is good at art and one person with a great face, our mind creates one perfect persona, which is impossible to live up to. Teens can also fall into the trap of gauging their self-worth based on the number of “likes” and comments they get on social media. “I find that the comparative aspect of social media can be challenging,” says Summer. “Those feelings of exclusion or being left out of something going on—social media can be an avenue for receiving information that is painful to deal with.”

how to master what is happening inside of you.” WENDY SUMMER A certified counselor with Charlottesville Counseling Services who works with older teens, college students, and adults of all ages

PARENTING TO DO: Monitor your child’s social media use, even if it means taking some time to learn what platforms they like. Ask them to share what they’ve

posted with you and spot check daily to make sure they aren’t being bullied or bullying others. Consider making some rules about turning in devices at nighttime to limit their social media exposure.

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FAMI LY CAR E |

Recognize the Warning Signs

Is Your Teen at Risk for Depression and Anxiety

If your teen shows signs of anxiety or depression such as sleeping more or less than usual, losing interest in activities, bringing home plummeting grades or experimenting with drugs and alcohol—try talking to them before things spiral. There may be deep anxieties underneath the behaviors. “The more kids suppress emotions, the scarier those emotions feel,” notes Summer. “We need to teach our kids that they don’t have to be afraid of how they feel.” Ask the hard questions—like, are you drinking alcohol to feel better? Why? What are you stressed about? “We need to build up that sense of competency so kids can address their emotions,” Summer says. If your child seems resistant to sharing, suggest a trusted counselor. In many cases, talk therapy, medication or a combination of both can be life changing. And the basics of good nutrition, exercise and sleep are very important tools in combating mental health issues.

PARENTING TO DO: Approach your child with curiosity rather than anger. Help your teen talk through feelings—with your

or someone else who can help them sort out what is truly bothering them. Family physicians and school counselors can provide resources to address serious issues, including threats of self-harm.

EXPERT CONTRIBUTOR

Wendy Summer with Charlottesville Counseling Services

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ARE

LEG

CRAMPS

KEEPING YOU UP AT

NIGHT? words | CATHERINE BROWN

Many of us know the experience well: You are sleeping peacefully under your cozy comforter, perhaps dreaming of a romantic walk on the beach, when—OUCH—a severe cramp in your leg wrenches you from blissful slumber. You sit up in a state of confusion, trying desperately to loosen up the tightened muscles. Although the leg cramp or charley horse only lasts for a few seconds or minutes, going back to sleep seems impossible, particularly when your muscle continues to ache long after it has stopped “Routine leg cramps can also be improved by proper posture and regular exercise (including stretching) throughout the day.” RACHEL L. MEHAFFEY, MD A provider with Sentara Martha Jefferson Internal Medicine. Dr. Mehaffey is certified by the American Board of Internal Medicine.

contracting. Nighttime leg cramps most often occur in the calf muscle, but they can also happen in the thigh or foot muscles. Leg cramps affect 50 to 60 percent of adults and fewer than 10 percent of children. After age 50, leg cramps become more common. Both men and women experience nighttime leg cramps; however, women are slightly more likely to experience them. Leg cramps are also more common during pregnancy.

CAUSES Causes of leg cramps can be difficult to pinpoint. Possible contributing factors include structural issues in the legs and feet, such as flat-footedness; dehydration; electrolyte imbalance; poor circulation and nerve disorders. Leg cramps can occur after long periods of sitting or, conversely, from overexertion. For many people, nighttime leg cramps are a normal part of life and do not result from a serious medical condition.

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According to Rachel Mehaffey, MD, Internal Medicine at Sentara Martha Jefferson, however, “persistent or prolonged leg cramps

Are Leg Cramps Keeping You Up at Night?

that last more than a few seconds should be evaluated by a physician.” Leg cramps can be associated with neuromuscular disorders, chronic kidney disease, anemia, thyroid disorders and diabetes. “If leg cramps are due to an underlying medical illness,” Dr. Mehaffey says, “prolonging evaluation and treatment could potentially allow the condition to progress.” Certain medications, like statins, asthma inhalers and diuretics, can also contribute to leg cramps.

RELIEF While in most cases leg cramps do not impact patients significantly, if regularly occuring, the resulting lack of sleep can lead to difficulties driving safely and working productively. Thankfully, there are ways to alleviate suffering. “If an electrolyte imbalance is found as a cause of the leg cramps, it can be replenished with oral nutrient supplementation,” explains Dr. Mehaffey. “Alternatively, there are prescription medications available for treatment of persistent leg cramps.” Those include both anti-inflammatory and antispasmodic medicines.

PREVENTION There are also several non-medical ways to prevent leg cramps. Staying hydrated by drinking water throughout the day can help. Eating foods that are high in potassium, magnesium and calcium might also help. For instance, yogurt and bananas, can be a perfect bedtime snack. In addition, stretching the legs before bedtime and keeping blankets loose around the feet can help. Wearing supportive shoes during the day when exercising or standing for long periods of time can also prevent leg cramps. According to Dr. Mehaffey, “routine leg cramps can also be improved by proper posture and regular exercise (including stretching) throughout the day.” If knotted, tightened muscles wake you in the middle of the night, you can alleviate the cramp by forcefully stretching and kneading the muscle. You can also help the muscles relax by walking around, flexing the foot, sitting in a warm bath, and applying ice. As with most health conditions, exercise regularly and eat healthily to sleep well and feel great. EXPERT CONTRIBUTOR Rachel L. Mehaffey, MD with Sentara Martha Jefferson Internal Medicine

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Experiencing Dementia Though a Virtual Tour

“RoseWood Village is one of the first sites in the Charlottesville region to offer this technology to families and care workers, with the goal of increasing awareness and understanding of dementia.”

words | CHRISTY RIPPEL

Ever wonder what life is like for a person with dementia? Thanks to new technology, you can experience a day-in-the-life of a dementia patient for yourself. RoseWood Village, an assisted living community with two Charlottesville sites, offers a virtual dementia tour, which was developed by P.K. Beville, PhD, a geriatric psychologist. RoseWood Village is one of the first sites in the Charlottesville region to offer this technology to families SHAREEF TAHBOUB Development director at RoseWood Village

and care workers, with the goal of increasing awareness and understanding of dementia. The dementia tour works like this: a person puts on goggles that impair vision, shoe inserts that simulate the balance instability a patient might feel, gloves to hamper hand and finger movement, and headphones that both muffle sound and pump out confusing chatter. When the person is fully outfitted, they proceed through a series of

CHRISTINE WRIGHT

Executive director at RoseWood Village’s Hollymead site

everyday tasks, like folding clothes and putting away dishes. While these tasks are easy for most people, for a person with dementia these simple steps can feel like climbing an impossible mountain.

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Experiencing the dementia tour When Shareef Tahboub, development director at RoseWood Village, tried out the dementia tour for himself, he assumed he’d fly through it without any issues. He was wrong. “All of the management staff went through the tour, and some of us have been in the industry for 30 years,” explains Tahboub. “The consensus was that we were blown away. It opened our eyes to the frustrations and challenges of dementia, and made us feel even more compassionate and empathetic for our residents that deal with this.” Tahboub and his colleagues, including Christine Wright, who is the executive director of RoseWood Village’s Hollymead site, agreed that this was a tool that would benefit the public and the community at large. “We feel so passionate about it that we’ve sent a few staff for training to the Second Wind Dreams company [who licenses the technology] to become facilitators, and our goal is to have everyone who works in memory care in our area to experience it,” Wright says. “We’ve also hosted open-to-thepublic sessions.” If you are interested in the dementia tour, contact RoseWood Village for upcoming events at 434.963.7673. For facts about dementia and Alzheimer’s disease, visit alz.org. EXPERT CONTRIBUTORS Shareef Tahboub, development director at RoseWood Village

Warning Signs of

ALZHEIMER'S DISEASE

Take a Walk in Someone Else's Shoes

Dementia is a general term for a reduction in mental ability that is severe enough to interfere with daily life. Alzheimer's disease is the most common type of dementia, and according to the Alzheimer's Association, accounts for 60 to 80 percent of cases. There are other types of dementia, and conditions that can cause symptoms of dementia, including some that are reversible, such as thyroid problems and vitamin deficiencies. That’s why it’s important to talk to a physician if you or a loved one is experiencing troublesome symptoms, because early detection is key to creating a treatment plan. A long-held belief is that even serious mental decline is a normal part of aging—it isn’t. Symptoms can vary greatly, but can include things like an inability to focus, a lack of attention to personal grooming, like stopping showering, or worsening vision issues. The wide variety of symptoms is the reason why a doctor can help sort out these issues. Many dementias are progressive, meaning symptoms start out slowly and gradually get worse. These symptoms can be frustrating to family members and care givers, especially if it seems that the person is “just being difficult.” This is why the dementia tour is such a valuable tool.

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What is dementia?

Confusion with time or place Difficulty completing familiar tasks Challenges in planning or solving problems Memory loss that disrupts daily life Trouble understanding visual images and spatial relationships New problems with words in speaking or writing Misplacing things and losing the ability to retrace steps Decreased or poor judgment Withdrawal from work or social activities Changes in mood and personality

©2009 Alzheimer’s Association®. All rights reserved

Christine Wright, executive director of RoseWood Village’s Hollymead site

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Addressing Men’s Snoring words | CHRISTINE STODDARD

When I got married, my sister gave me a “survival kit” that included nighttime breathing strips for my husband so that I could sleep peacefully. Because approximately half of men snore, she could safely assume I was marrying a snorer.

The Prevalence of Snoring Among Men Men are more likely to snore because of anatomy. “The larynx (where the voice box resides) is typically situated lower in the male neck,” says Ellen Wermter, FNP, of Charlottesville Neurology and Sleep Medicine, “providing a larger space in the back of the throat.” The pharynx muscles relax during sleep, so the tongue falls backward and obstructs the airway. As men age, they tend to be more likely to snore, yet, at age 70, snoring tapers off.

The Causes of Snoring Although the distinctive sound of snoring results from obstructed airways, it is not necessarily dangerous. Wermter explains, “a maximum pressure is reached that cannot 64

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FAMI LY CAR E | Snoring No More!

overcome the pressure gradient in the upper airway which leads to a high frequency fluttering of the soft tissues structures.” That fluttering makes the sound many of us know so well. Individual traits like having narrower airways, being overweight, having a deviated septum and experiencing chronic congestion are all contributing factors to snoring.

The Dangers of Snoring: For most men and their partners, snoring is an annoyance. However, the minor frustration can lead to poor sleep quality, which impacts daily performance at work, makes people more susceptible to accidents, strains relationships and possibly leads to depression. Wermter explains that in some cases snoring can indicate obstructive sleep apnea, “a serious condition where breathing is obstructed significantly during the night, limiting oxygen flow and creating increased pressures in the chest cavity that can lead to hypertension and increased risk for cardiovascular and metabolic disorders.” Men who choke or have trouble breathing for ten seconds or more during sleep need to seek medical help. If they have sleep apnea, a doctor can recommend a CPAP (continuous positive airway pressure) machine, which applies air pressure through the nose and throat and reduces snoring. Even when snoring does not result from sleep apnea it can have long-term health effects. According to several studies, snoring can alter the inner lining in the carotid arteries, ultimately raising the risk of a stroke.

Ways to Improve Snoring There are many ways to improve snoring, depending on its causes. For instance, sleeping on one’s side can alleviate it. Also, men with chronic nasal congestion can use a nasal spray or allergy medication. For men who are overweight, weight loss can help. Wermter also encourages patients to avoid smoking, drinking alcohol close to bedtime and taking sedatives or sleep aids. If none of the above methods help, there are several medical options that might. For instance, “Some men are candidates for surgery – either a mandibular advancement, or a trimming of some of the soft tissues of the upper airway,” explains Wermter. “An ENT doctor will often do this evaluation.” www.OurHealthCville.com

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Others may benefit from an oral device fitted by a dentist. Whether snoring is a minor annoyance or a potentially serious health concern, it can help to consult a medical professional.

“A sleep specialist is a great place to start as he or she can do a comprehensive evaluation, determine if you need a sleep study and if so which type of study would be best for your circumstances.� ELLEN WERMTER, FNP A nurse practitioner at Charlottesville Neurology and Sleep Medicine.

After all, a sleep study can be a small price to pay for years of wedded bliss. EXPERT CONTRIBUTOR Ellen Wermter, FNP, a provider at Charlottesville Neurology and Sleep Medicine.

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OurHealth Cville & ShenVA Nov/Dec 2017  

OurHealth presents the 2017 Best Bedside Manner Awards! Check out who made the list, plus all of your local healthcare needs right here, at...